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Innovations on the Norwood Procedure: Sustained Total All-Region (STAR) Perfusion

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posted on 2021-09-08, 20:00 authored by Neel K. Prabhu, James M. Meza, Nicholas D. Andersen, Joseph W. Turek

Recovery following the neonatal Norwood procedure is often complicated by bleeding, acute kidney injury, systemic inflammatory response, and low cardiac function [1]. The traditional conduct of this operation under deep hypothermic circulatory arrest likely exacerbates these problems. Total body perfusion during Norwood reconstruction may improve post-operative recovery by cooling to only mild hypothermia and eliminating ischemic time in all vascular beds. Here, we present a novel technique for sustained total all-region (STAR) perfusion of the heart, upper body, and lower body throughout the Norwood operation [2, 3].


[1] Hornik CP, He X, Jacobs JP, et al. Complications after the Norwood operation: an analysis of The Society of Thoracic Surgeons Congenital Heart Surgery Database. Ann Thorac Surg. 2011;92(5):1734-40.
[2] Turek JW, Hanfland RA, Davenport TL, et al. Norwood reconstruction using continuous coronary perfusion: a safe and translatable technique. Ann Thorac Surg. 2013;96(1):219-23.
[3] Andersen ND, Prabhu NK, Turek JW. Sustained Total All-Region (STAR) Perfusion for Norwood Reconstruction. Operative Techniques in Thoracic and Cardiovascular Surgery 2020;25(3):126-39.


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